{"id":"W4388078469","doi":"10.2196/48576","title":"Dobutamine and Goal-Directed Fluid Therapy for Improving Tissue Oxygenation in Deep Inferior Epigastric Perforator (DIEP) Flap Breast Reconstruction Surgery: Protocol for a Randomized Controlled Trial","year":2023,"lang":"en","type":"article","venue":"JMIR Research Protocols","topic":"Reconstructive Surgery and Microvascular Techniques","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Kingston Health Sciences Centre; Queen's University","funders":"Southeastern Ontario Academic Medical Organization","keywords":"DIEP flap; Medicine; Breast reconstruction; Perioperative; Surgery; Breast cancer; Dobutamine; Randomized controlled trial; Anesthesia; Cancer; Hemodynamics; Internal medicine","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.01340768,0.0003701971,0.002126699,0.001783849,0.0003181597,0.0001768336,0.0001302081,0.0003500573,0.00007790832],"category_scores_gemma":[0.004555927,0.0002767048,0.0005666262,0.001353896,0.0003765987,0.0003727367,0.00006420357,0.000449898,0.000004735253],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002248601,"about_ca_system_score_gemma":0.0007696472,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00003021574,"about_ca_topic_score_gemma":0.00001567714,"domain_scores_codex":[0.9950157,0.001457118,0.001359476,0.0007606294,0.0005456018,0.0008614898],"domain_scores_gemma":[0.9940766,0.003515466,0.0003907708,0.0003876414,0.001422475,0.000207097],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.691671,0.0002951594,0.0005447545,0.0009974894,0.0001154282,0.000006504925,0.00006916984,2.831645e-7,0.06684429,0.00003073957,0.0003653175,0.2390599],"study_design_scores_gemma":[0.9455482,0.00210205,0.001002306,0.001376263,0.00001789972,0.0001232207,0.00007734347,0.00365504,0.03884119,0.0005118811,0.006443108,0.0003015116],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"protocol","genre_gemma":"protocol","genre_scores_codex":[0.07567436,0.000006850154,0.0007558176,0.0002508793,0.00003259645,0.9228311,0.00002957197,0.000376531,0.00004228969],"genre_scores_gemma":[0.0031943,0.000007713145,0.002224376,0.00001471562,0.0003933559,0.9937356,0.0000770351,0.00008060538,0.0002723108],"genre_candidate":"protocol","genre_consensus":"protocol","teacher_disagreement_score":0.2538772,"threshold_uncertainty_score":0.9999685,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.07523175732705144,"score_gpt":0.4556725366208203,"score_spread":0.3804407792937688,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}